Individual provider Active NPI

Raymond Carl Bement, MA, LCSW

  • Clinical Social Worker
  • Monticello, IL
National Provider Identifier
1326102435
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-019718 Issued in IL
Practice address
1000 Medical Center Dr
Monticello, IL 61856-2116
Phone
(217) 762-6241
Fax
(217) 762-1702
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 149-019718 IL Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

1000 Medical Center Dr
Monticello, IL 61856-2116

Mailing address

1000 Medical Center Dr
Monticello, IL 61856-2116
Phone (217) 762-6241

Other practice location 1

201 W Springfield Ave Ste 308
Champaign, IL 61820-4800
Phone (217) 751-2083 ext. 12083

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbement@kmc.kirbymedicalcenter.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422001603 IL Practitioner - Clinical Social Worker 2466794524 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
149-019718ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Mental Health CurrentSince Aug 7, 2023 Accepting new patients
Mindful Aspirations Counseling and Consulting, LLC. Mental Health CurrentSince Feb 3, 2025 Accepting new patients
Promise Healthcare NFP CurrentSince Nov 22, 2024 Accepting new patients
Promise Healthcare NFP Current Accepting new patients
Promise Healthcare NFP CurrentSince Nov 22, 2024 Accepting new patients
Psychology Specialists LTD PastSince Aug 7, 2023 Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

821 S Neil St
Champaign, IL 61820
Phone (217) 356-1558

201 W Springfield Ave
Ste 308
Champaign, IL 61820
Phone 2177512083 ext. 12083

2506 Galen Dr
Ste 101
Champaign, IL 61821
Phone (217) 693-6072

819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558

Interoperability endpoints

  • Direct secure messaging: ray.bement.p11@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1326102435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618562116",
            "telephone_number": "217-762-6241",
            "fax_number": "217-762-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618562116",
            "telephone_number": "217-762-6241",
            "fax_number": "217-762-1702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Springfield Ave Ste 308",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618204800",
            "country_code": "US",
            "telephone_number": "217-751-2083 x12083",
            "fax_number": "217-607-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEMENT",
        "first_name": "RAYMOND",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "MA, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-019718",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbement@kmc.kirbymedicalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Medical Center Dr",
            "city": "Monticello",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618562116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monticello, IL

Sources for this page

Verify at the official NPI Registry.